Do the rules for documentation apply to industrial patients? Our physicians normally code a higher level of E/M service simply based on the fact the patient is industrial. Their documentation and often times the medical necessity does not support the higher code selected. In the case of an audit, would a RATSTAT pick up industrial patients as well and they be included, or are they exempt? Thank you for your input. If there are official souces to quote that would be appreciated.
Elaine
Elaine